{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T03:28:04Z","timestamp":1791689284679,"version":"4.3.4"},"reference-count":23,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,8,8]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite worldwide efforts in encouraging routine pap smears for early detection of cervical cancer, Poland\u2019s screening rate lags behind the rest of the European Union at 20.2%. Family physicians (FPs) in Poland rarely perform pap smears, and little is known about the experiences and attitudes of Polish patients regarding pap smear screening in a primary healthcare (PHC) setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross-sectional questionnaire-based survey was performed. Questionnaires were distributed among 43 FPs and 418 of their patients in one Polish region. The data from patients were associated with the doctors\u2019 characteristics. Descriptive statistics, the \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      test and the Mann-Whitney U test were used for analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nearly two-thirds of patients (66%) declared willingness to undergo free pap smear screening by their FPs, with the most common reason being time saved. Among those objecting to receive pap smears from their FPs, immediate specialist care provided by gynaecologists in case of adverse results was the main concern. The factors that positively influenced the patients\u2019 decision to undergo cervical cancer screening in PHC were: (1) living in a city with more than 100\u2009000 inhabitants, (2) being single, (3) having a female FP or (4) a physician with specialty training in family medicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is high level of acceptance for pap smears performed in PHC offices among patients in Poland. They are more likely to comply with the screening due to easy access. Establishing a solid physician\u2013patient relationship is also crucial in encouraging screening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-031317","type":"journal-article","created":{"date-parts":[[2019,8,31]],"date-time":"2019-08-31T07:45:22Z","timestamp":1567237522000},"page":"e031317","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Impact of family physicians on cervical cancer screening: cross-sectional questionnaire-based survey in a region of southern Poland"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9869-7923","authenticated-orcid":false,"given":"Katarzyna","family":"Nessler","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Jagiellonian University Medical College, Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sze Kay Florence","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Jagiellonian University Medical College, Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Ball","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Jagiellonian University Medical College, Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0616-5992","authenticated-orcid":false,"given":"Monika","family":"Storman","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Jagiellonian University Medical College, Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Chwalek","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Jagiellonian University Medical College, Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Krzto\u0144-Kr\u00f3lewiecka","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Jagiellonian University Medical College, Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"El\u017cbieta","family":"Kryj-Radziszewska","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Jagiellonian University Medical College, Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Windak","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Jagiellonian University Medical College, Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,8,30]]},"reference":[{"key":"2025121513560280000_9.8.e031317.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2008.07.045"},{"key":"2025121513560280000_9.8.e031317.2","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.55.4.244"},{"key":"2025121513560280000_9.8.e031317.3","doi-asserted-by":"crossref","DOI":"10.1186\/1743-422X-8-269","article-title":"Oncogenic potential of human papillomavirus (HPV) and its relation with cervical cancer","volume":"8","author":"Faridi","year":"2011","journal-title":"Virol J"},{"key":"2025121513560280000_9.8.e031317.4","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6601024"},{"key":"2025121513560280000_9.8.e031317.5","doi-asserted-by":"publisher","DOI":"10.1038\/nrc1973"},{"key":"2025121513560280000_9.8.e031317.6","doi-asserted-by":"publisher","DOI":"10.1038\/nrc798"},{"key":"2025121513560280000_9.8.e031317.7","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021641"},{"key":"2025121513560280000_9.8.e031317.8","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jit192"},{"key":"2025121513560280000_9.8.e031317.9","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa020586"},{"key":"2025121513560280000_9.8.e031317.10","doi-asserted-by":"publisher","DOI":"10.1136\/jms.9.2.86"},{"key":"2025121513560280000_9.8.e031317.11","doi-asserted-by":"publisher","DOI":"10.5306\/wjco.v5.i4.744"},{"key":"2025121513560280000_9.8.e031317.12","doi-asserted-by":"publisher","DOI":"10.1080\/03630240902915101"},{"key":"2025121513560280000_9.8.e031317.13","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.21955"},{"key":"2025121513560280000_9.8.e031317.14","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S0140-6736(04)16674-9","article-title":"The cervical cancer epidemic that screening has prevented in the UK","volume":"364","author":"Peto","year":"2004","journal-title":"The Lancet"},{"key":"2025121513560280000_9.8.e031317.15","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.e900","article-title":"Screening and cervical cancer cure: population based cohort study","volume":"344","author":"Andrae","year":"2012","journal-title":"BMJ"},{"key":"2025121513560280000_9.8.e031317.16","unstructured":"Bruni L , Barrionuevo-Rosas L , Albero G , et al . 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